Mokhtare MD, Professional Corporation
NPI 1205652146 · Family Medicine Physician · Corona Del Mar, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mokhtare MD, Professional Corporation is a Family Medicine Physician organization in Corona Del Mar, CA (NPI 1205652146).
Provider details
- NPI number
- 1205652146
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shahrzad Mokhtare, President(949) 735-1632
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Frequently asked questions
- What is Mokhtare MD, Professional Corporation's NPI number?
- Mokhtare MD, Professional Corporation's National Provider Identifier (NPI) is 1205652146, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mokhtare MD, Professional Corporation?
- Mokhtare MD, Professional Corporation is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mokhtare MD, Professional Corporation located?
- Mokhtare MD, Professional Corporation's practice location on file with NPPES is 2865 E Coast Hwy Unit 120, Corona Del Mar, CA 92625-2236.
- What is Mokhtare MD, Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Mokhtare MD, Professional Corporation is (866) 278-2204.
- Does Mokhtare MD, Professional Corporation accept Medicare?
- Mokhtare MD, Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mokhtare MD, Professional Corporation?
- The authorized official listed on Mokhtare MD, Professional Corporation's NPPES record is Shahrzad Mokhtare, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mokhtare MD, Professional Corporation's NPI active?
- Yes — Mokhtare MD, Professional Corporation's NPI (1205652146) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.